BEHAVIORAL TREATMENT OF CHILDHOOD SOCIAL PHOBIA

社交恐惧症影响着大约1%的儿童。 患有社交恐惧症的儿童对公共场所有明显的恐惧 在公共场所说话、吃饭或写作，参加聚会，使用 公共卫生间，与权威人士交谈，以及非正式的 交互.社交恐惧症的临床相关因素包括 抑郁症，社会退缩，害怕失败，对 认知能力和高特质焦虑。此外，儿童 社交恐惧症患者有时会拒绝上学， 很大一部分人酗酒， 问题，并经历与同龄人沿着的困难。的 在11岁之前出现社交恐惧似乎预示着 在成年期无法恢复。因此，儿童社交恐惧症是一个很大的 比迄今为止所认为的更复杂、更严重的疾病。 尽管到目前为止还没有发表过关于行为的研究， 治疗儿童社交恐惧症，研究与社会 孤立的孩子表明，社会技能训练可能是一个 有效干预。传统的技能培训 程序不会产生对自然主义的概括 环境此外，现有的成人社交恐惧症数据 表明关键的治疗要素包括形式化的 暴露疗法，一些通常不包括在社会 技能培训计划。因此，多模式方法， 适合于疾病的多维度性质的是 有正当理由拟议的研究报告已在 心理社会治疗发展倡议。这项研究将 研究一种新的治疗方法对患有社交障碍的儿童的疗效， 恐惧症儿童社会效能疗法（SET-C） 综合治疗方案将被比作一个关注- 安慰剂对照组为9-12岁儿童。疗效 将根据其能力来评估这种方法 减少社交焦虑和恐惧，提高社交技能， 人际功能，增加社会参与 活动，提高自信心和自我概念。研究 这将是第一个SET-C和 可信的安慰剂对照组。治疗的持久性将是 在6个月随访期内确定，在1、3 和6个月的间隔。

Social phobia affects approximately 1% of the child population. Children with social phobia have significant fears of public speaking, eating or writing in public, going to parties, using public restrooms, speaking to authority figures, and informal interactions. The clinical correlates of social phobia include depression, social withdrawal, fear of failure, poor perception of cognitive competence and high trait anxiety. Furthermore, children with social phobia sometimes refuse to attend school and a substantial percentage suffer alcohol abuse, display conduct problems, and experience difficulty getting along with peers. The onset of social fears prior to the age of 11 appears to predict non-recovery in adulthood. Thus, childhood social phobia is a much more complicated and serious disorder than heretofore believed. Although to date there are no published studies of behavioral treatments for children with social phobia, studies with socially isolated children suggest that social skills training may be an effective intervention. However, traditional skills training programs do not produce generalization to the naturalistic environment. In addition, extant data with adult social phobics indicate that the critical therapeutic element includes formalized exposure therapy, something not customarily included in social skills training programs. Therefore, a multi-modal approach, appropriate to the multi-dimensional nature of the disorder is warranted. The proposed study is being submitted under the psychosocial treatment development initiative. The study will examine the efficacy of a new treatment for children with social phobia. Social Effectiveness Therapy for Children (SET-C), a comprehensive treatment program will be compared to an attention- placebo control group in children 9-12 years of age. The efficacy of this approach will be evaluated in terms of its ability to reduce social anxiety and fear, improve social skill and interpersonal functioning, increase participation in social activities and improve self-confidence and self-concept. The study will be the first controlled comparison study of SET-C and a credible placebo control group. Durability of treatment will be determined over a 6 month followup period with assessments at 1, 3 and 6 month intervals.